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MAITRI PATH TO WELLNESS, PLLC
NPI 1598564429
Clinic/Center - Rehabilitation, Substance Use Disorder in Wyoming, IL

Active since March 12, 2025
101 W WILLIAMS ST, WYOMING, IL 61491(815) 780-0690(815) 410-1937 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maitri Path To Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAITRI PATH TO WELLNESS, PLLC (NPI 1598564429) is a healthcare organization registered as a rehabilitation, substance use disorder in Wyoming, Illinois and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Peru and lists Brenden Fasken, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1598564429
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMAITRI PATH TO WELLNESS, PLLC
Location Address101 W WILLIAMS STWyoming, IL 61491-1347
Mailing Address710 Peoria StPeru, IL 61354-3262 · (815) 780-0690 · Fax (815) 410-1937
Phone(815) 780-0690
Fax(815) 410-1937
Organization SubpartNo
Authorized OfficialBrenden FaskenChief Operating Officer · (815) 780-0690
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1598564429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
101 W WILLIAMS ST, Wyoming, IL 61491
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Secondary Practice Location 1

Location 1710 Peoria StPeru, IL 61354-3262 · Phone (815) 780-0690 · Fax (815) 410-1937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maitri Path To Wellness, PLLC's NPI number?

The NPI number for Maitri Path To Wellness, PLLC is 1598564429. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Maitri Path To Wellness, PLLC located?

Maitri Path To Wellness, PLLC is located at 101 W Williams St, Wyoming, IL 61491. The listed phone number is (815) 780-0690.

What is Maitri Path To Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Maitri Path To Wellness, PLLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.